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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 10 Physician Assistant : 10.1 Enrollment

10.1
To enroll in Texas Medicaid, a PA must be licensed and recognized as a PA by the Texas Physician Assistant Board. Texas Medicaid accepts a signed letter of certification from the Texas Physician Assistant Board as acceptable documentation of appropriate licensure and certification for enrollment. The PA must identify their supervising physician in the appropriate field of the enrollment application.
Providers cannot be enrolled if their license is due to expire within 30 days.
Enrollment as an individual provider is optional. PAs currently treating clients and billing under the supervising physician’s provider identifier may continue this billing arrangement.
All PA services must be delivered according to protocols developed jointly within the scope of practice and state law governing PAs.
All providers of laboratory services must comply with the rules and regulations of CLIA. Providers not complying with CLIA are not reimbursed for laboratory services.
PAs may enroll as providers of THSteps medical checkups.
Refer to:
Subsection 1.1, “Provider Enrollment and Reenrollment,” in Section 1, “Provider Enrollment and Responsibilities” (Vol. 1, General Information).
Subsection 2.1.1, “Clinical Laboratory Improvement Amendments (CLIA),” in the Radiology and Laboratory Services Handbook (Vol. 2, Provider Handbooks).
Subsection 5.2, “Enrollment,” in the Children’s Services Handbook (Vol. 2, Provider Handbooks) for more information about enrolling as a THSteps provider.

Texas Medicaid & Healthcare Partnership
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